Point of Care Testing - Strep
Data Definition Tool
This audit is to be completed by the manager or designee on a monthly basis. POCT audits are due by the last day of the month.
Instructions: Indicate Yes, No, NA (Not Applicable) for each question below.
Updated 8-8-14
Submit 1 POCT audit per month using the Point of Care Testing -Strep audit tool.
QUESTION
1
2
3
4
5
6
7
8
9
10
11
STANDARD
LOCATION
POCT testing book
YES
Yes means you are NOT doing
Has all testing performed in this patient care area been approved by the
any lab tests that you have not
Diagnostic Laboratories?
been approved for. Approval
NOTE: All POCT Testing must be approved prior to implementation. If
WT.01.01.01, EP 4
comes from the POCT
unsure of area approval, contact Point of Care personnel.
WT.02.01.01, EP 1 & 2
committee.
Manager/Educators Person trained by POCT in the
Is there a designated trained trainer with documented current
WT.03.01.01, EP 2, 3, office training records last year to train other staff.
competency?
4, & 6
Emails
Have sent POCT updates when
someone leaves work area or
Has the patient care area notified the Laboratory (POC) of changes in
new staff comes to work area.
the list of testing personnel?
WT.02.01.01, EP 1
Manager/Educators Orientation records must be
WT.02.01.01, EP's 1 & office training records kept permanently, annual
Are current documentation records for training and competency
2
recertifications must be kept for
records readily accessible?
WT.03.01.01, EP 3
2 years.
Can staff produce a copy of the current procedure (hard copy or
Computer/POCT
Can find procedure
online)?
WT.01.01.01, EP 5
manual
Has the manager performed a documented review of patient chart
POCT testing book
Manager has done quarterly
documentation to verify that patient results are properly documented
chart audits.
per procedure? (Review of Manager log)
WT.05.01.01, EP 4
Where supplies are
Test kits are kept at RT
Are all reagents, controls, and kits stored at proper temperature?
WT.01.01.01, EP 2 & 6 kept
Where supplies are
Test kits are labeled with a box
Are all reagents, controls, and kit boxes labeled with an appropriate
kept
number, an open date and QC'd
expiration date and initials?
WT.01.01.01, EP 2
date and initials
QC Log Book
QC is run on every box of text
Have QC documentation logs been completed as required by
WT.04.01.01, EP 1 & 2
kits prior to patient testing
procedure?
WT.05.01.01, EP 1
Problem log
If had problem it is noted
Have corrective actions been documented?
WT.01.01.01, EP 2
QC Log Book
Yes, if you have your records
Are all QC records kept for a minimum of 2 years?
WT.05.01.01, EP 5
QC Log Book
WT.01.01.01, EP 2
Has the manager or designee performed a weekly review and sign off of WT.04.01.01, EP 1 & 2
WT.05.01.01, EP 1
12 quality control and other test specific required documentation?
Is all original documentation of patient results retained for a minimum
Instrument
13 of 2 years?
WT.05.01.01, EP 5
printouts/Log book
POCT testing book
Where appropriate, has proficiency testing been performed per
WT.03.01.01, EP 1, 4, &
5
14 procedure, reported within deadlines?
There is a signature to indicate
reviewed weekely.
Are they accessible for last 2
years
All CAP proficiency samples have
been run and results returned to
POCT